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Iodine in autism spectrum disorders
Anna Błażewicz1, Agata Makarewicz2, Izabela Korona-Glowniak3
1Department of Analytical Chemistry, Medical University of Lublin, Poland.
Insights
Autistic boys in Poland show lower iodine levels and altered thyroid hormones compared to peers. Iodine status correlates with autism symptom severity, suggesting a nonhormonal role for iodine in autism.
Area of Science:
- Neurodevelopmental Disorders
- Nutritional Science
- Endocrinology
Background:
- Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition.
- Iodine is crucial for thyroid hormone synthesis, impacting brain development.
- The role of iodine in ASD pathophysiology remains underexplored.
Purpose of the Study:
- To compare iodine status in Polish boys with severe ASD versus healthy controls.
- To investigate correlations between urinary iodine, thyroid hormones, BMI, and ASD symptoms.
Main Methods:
- Studied 40 boys with ASD and 40 healthy controls (aged 2-17) from Poland.
- Measured urinary iodine (UI), free triiodothyronine (fT3), free thyroxine (fT4), TSH, and BMI.
- Utilized ion chromatography for UI determination and Childhood Autism Rating Scale (CARS) for symptom assessment.
Main Results:
- 19/40 autistic boys exhibited mild to moderate iodine deficiency.
- Autistic boys had significantly lower UI, fT3, fT4, and higher TSH than controls.
- Urinary iodine negatively correlated with overall ASD severity and specific symptoms like verbal communication and intellectual functioning.
Conclusions:
- Iodine deficiency and altered thyroid hormone levels are present in autistic boys.
- Iodine status is associated with the severity of specific ASD symptoms.
- Further research into the nonhormonal functions of iodine in autism is warranted.
Objective:
The aim of our study was to assess the iodine status of Polish boys with severe autism compared to their healthy peers and evaluate the relationship between urinary iodine, thyroid hormones, body mass index and Autism Spectrum Disorder (ASD) symptomatology.
Subjects And Methods:
Tests were performed in 40 boys with ASD and 40 healthy boys, aged 2-17 from the same geographic region in Poland. Urinary iodine (UI), free triiodothyronine (fT3), free thyroxine (fT4), thyroid stimulating hormone (TSH), BMI, and individual symptoms measured by the Childhood Autism Rating Scale (CARS) were correlated. Validated ion chromatography method with pulsed amperometric detection was applied for the determination of urinary iodine after optimized alkaline digestion in a closed system assisted with microwaves.
Results:
19 out of 40 children with ASD had mild to moderate iodine deficiency. Statistically significant lower levels of UI, fT3 and fT4 and higher levels of TSH were found in the autistic group when compared with the control group. Concentration of iodine in urine was negatively associated with clinician's general impression for children between 11 and 17 years. Emotional response, adaptation to environmental change, near receptor responsiveness, verbal communication, activity level, and intellectual functioning are more associated with UI than other symptoms listed in CARS.
Conclusion:
The severity of certain symptoms in autism is associated with iodine status in maturing boys. Thyroid hormones were within normal reference ranges in both groups while urinary iodine was significantly lower in autistic boys suggesting that further studies into the nonhormonal role of iodine in autism are required.
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